VARIETY CHILDREN'S HOSPITAL (NPI# 1972635183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972635183 |
| Entity Type | Organization |
| Organization Name | VARIETY CHILDREN'S HOSPITAL |
| Other Organization Name | NICKLAUS CHILDREN'S HOSPITAL |
| Practice Address |
3100 Sw 62nd Ave Suite 3 Ne Miami FL 33155-3009 |
| Mailing Address |
Po Box 865095 Orlando FL 32886-5095 |
| Practice Telephone | 3056628316 |
| Practice Fax Number | 3056636868 |
| Mailing Telephone | 7866245876 |
| Mailing Fax Number | 7866242688 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2016-10-27 |
| Authorized Official Name | MS. REBECCA FRANCE (ADMINISTRATIVE DIRECTOR, RCM) |
| Authorized Official Telephone | 7866245876 |
| Is Organization Subpart | Y |
| Parent Organization Name | NICKLAUS CHILDREN'S HOSPITAL- ENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians | ||
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 255772009 | 05 |
| Other Name | Type Code |
|---|---|
| Nicklaus Children's Hospital | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386143485 | Variety Children's Hospital | Clinic/Center | 2072 Ne 8th St, Homestead, FL 33033-4702 | 2018-02-05 |
| 1972013373 | Variety Children's Hospital | Clinic/Center | 990 W 49th St, Hialeah, FL 33012-3405 | 2017-10-11 |
| 1154850709 | Variety Children's Hospital | Clinic/Center | 11521 S Dixie Hwy, Pinecrest, FL 33156-4445 | 2017-06-07 |
| 1326402363 | Variety Children's Hospital | Clinic/Center | 10 Se Central Pkwy, Suite 222, Stuart, FL 34994-5913 | 2016-04-06 |
| 1033594049 | Variety Children's Hospital | Clinic/Center | 1 Seminole Way, Hollywood, FL 33314-6407 | 2015-07-21 |
| 1083099022 | Variety Children's Hospital | Clinic/Center | 5223 Orient Rd, Tampa, FL 33610-4114 | 2015-07-20 |
| 1457736407 | Variety Children's Hospital | Clinic/Center | 3370 Forest Hill Blvd, West Palm Beach, FL 33406-5870 | 2015-07-20 |
| 1841675881 | Variety Children's Hospital | Clinic/Center | 9487 Regency Square Blvd, Jacksonville, FL 32225-8183 | 2015-07-20 |
| 1730561481 | Variety Children's Hospital | Clinic/Center | 11449 Sw 40th St, Miami, FL 33165-3311 | 2015-06-18 |
| 1982006391 | Variety Children's Hospital | Clinic/Center | 8895 Sw 136th St, Miami, FL 33176-5816 | 2014-09-17 |
| Street Address |
3100 SW 62ND AVE SUITE 3 NE |
| City | MIAMI |
| State | FL |
| Zip Code | 33155-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824077 | Rene Luis Lopez-guerrero | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2005-07-13 |
| 1598366239 | Alejandra Margarita Patterson | Registered Nurse | 3100 Sw 62nd Ave, Suite 108 Center for Spinal Disorders, Miami, FL 33155 | 2020-11-07 |
| 1093315947 | Mailys Santoro | Nurse Practitioner | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-10-29 |
| 1174121289 | Lilia M Mendoza | Family Medicine | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-10-12 |
| 1932707007 | Brian Ruiz | Nurse Practitioner | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-10-12 |
| 1457965345 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-09-08 |
| 1306459177 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-08-31 |
| 1568075372 | Nancy Pierre | Nurse Practitioner | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-08-31 |
| 1841803335 | Dicle Yasar Aksoyler | Student in an Organized Health Care Education/Training Program | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-08-25 |
| 1154932952 | Veronica A Quintanar Sanabria | Nurse Practitioner | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987121 | Blanca Argentina Torres | Speech-Language Pathologist | 6840 Bird Rd Unit 211a, Miami, FL 33155 | 2020-09-21 |
| 1245888585 | Mila De La Caridad Broche Coego | Behavior Technician | 2247 Sw 68th Ct, Miami, FL 33155 | 2019-08-29 |
| 1265087878 | Nancy Acela Denis | Nurse Practitioner | 6791 Sw 25 Terra, Miami, FL 33155 | 2019-08-09 |
| 1700366887 | Aly Hashim | Family Medicine | 2805 Sw 75th Avenue, Miami, FL 33155 | 2018-08-17 |
| 1184115362 | Ready 2 Transfer, Inc. | Non-emergency Medical Transport (VAN) | 7811 Sw 24 Street #120, Miami, FL 33155 | 2018-05-23 |
| 1053808030 | Idalmis Pimentel Diez | Behavior Technician | 6334 Sw 30th St, Miami, FL 33155 | 2018-04-16 |
| 1225538689 | L & L Social Services LLC | Case Management | 5950 Sw 40 St, Miami, FL 33155 | 2018-02-12 |
| 1659888915 | Red Bird Dental Care | Dentist | 5771 Sw 40 St, Miami, FL 33155 | 2018-01-08 |
| 1043726474 | Jesenia Rodriguez-vila | Nurse Practitioner | 6433 Sw 29th St, Miami, FL 33155 | 2017-12-21 |
| 1326553736 | Believe Neuro-behavioral Services | Behavioral Analyst | 6700 Sw 38th St, Miami, FL 33155 | 2017-12-07 |
| Find all providers in zip 33155 | ||||
| Taxonomy Code | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285888396 | Yamilet Tirado | Otolaryngology | 3100 S.w. 62nd Avenue, Suite 124, Miami, FL 33155 | 2008-11-17 |
| 1902350853 | Pediatric Specialty Group, Inc. | Otolaryngology | 3100 Sw 62nd Ave, Suite 122, Miami, FL 33155 | 2016-08-09 |
| 1922240167 | Variety Children's Hospital | Otolaryngology | 13400 Sw 120th St, Suite 100, Miami, FL 33186-7440 | 2009-04-02 |
| 1760628929 | University of Miami | Otolaryngology | 1666 Nw 10th Ave, Acc East, Miami, FL 33136 | 2008-12-18 |
| 1912106220 | Leonardo Antonio Torres | Otolaryngology | 900 Nw 17th St, Miami, FL 33136-1119 | 2007-07-16 |
| 1407072499 | Sandeep P Dave | Otolaryngology | 3100 Sw 62nd Ave, Suite 122, Miami, FL 33155-3009 | 2007-04-18 |
| 1427071802 | Ramzi Younis | Otolaryngology | 1666 Nw 10 Ave, (m851), Miami, FL 33101-6960 | 2006-07-26 |
| 1124014550 | Gaston A De Cardenas | Otolaryngology | 3100 Sw 62nd Ave, Suite 124, Miami, FL 33155-3009 | 2005-09-21 |
| 1972599397 | Rafael R Portela | Otolaryngology | 3100 Sw 62nd Ave, Suite 124, Miami, FL 33155-3009 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619389962 | Pediatric Ent of Southwest Florida Pllc | Otolaryngology | 19 Georgetown, Fort Myers, FL 33919-1088 | 2014-05-21 |
| 1508002072 | Pediatric Ent, LLC | Otolaryngology | 1499 S Harbor City Blvd Ste 303, Melbourne, FL 32901-3245 | 2009-01-05 |
| 1295928380 | Aiysha C Balbosa | Otolaryngology | 5830 Coral Ridge Dr Ste 140, Coral Springs, FL 33076-3388 | 2007-08-22 |
| 1801002100 | Kyle Leslie Bressler | Otolaryngology | 6754 Stonegate Dr, Naples, FL 34109-7224 | 2007-05-15 |
| 1114011707 | Karin Swisher Hotchkiss | Otolaryngology | 5105 N Armenia Ave, Tampa, FL 33603-1405 | 2006-10-03 |
| 1568554400 | Scott Brietzke | Otolaryngology | 1131 N 35th Ave Ste 300, Hollywood, FL 33021 | 2006-09-29 |
| 1669573028 | Kathleen M Wasylik | Otolaryngology | 601 5th St. South, #701, St Petersburg, FL 33701 | 2006-09-26 |
| 1801902739 | Saswata Roy | Otolaryngology | 11705 San Jose Blvd, Ste 103, Jacksonville, FL 32223-1835 | 2006-08-22 |
| 1275588303 | Daniel L Wohl | Otolaryngology | 4114 Sunbeam Rd, Suite 403, Jacksonville, FL 32257-8847 | 2006-05-24 |
| 1487628251 | David L Mandell | Otolaryngology | 10150 Hagen Ranch Road, Suite 100, Boynton Beach, FL 33437 | 2006-02-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.